Troy Medicare operates a Medicare Advantage plan that leverages partnerships with local, independent pharmacies and significant investment in technology to improve patient experience. The company emphasizes 100% transparent drug pricing, $0 generics at independent pharmacies, and no hidden fees for pharmacies or providers. Troy launched in October 2018 and is based in Charlotte, North Carolina. Its model focuses on personal, hyper-local care by using pharmacists’ existing relationships to drive care management and delivery. Troy plans to expand its offering to dual-eligible Medicare beneficiaries in 2021 and to continue growing its team and geographic footprint. The company aims to improve health outcomes and lower costs for underserved Medicare Advantage populations. Troy Medicare is a licensed health insurance startup based in Charlotte, North Carolina, building a Medicare Advantage plan that leverages pharmacists to lower total cost of care. The company provides technology, data, and a business model to enable pharmacists to deliver clinical services such as chronic disease management, smoking cessation, and diabetes prevention. Troy says pharmacists have been shown to reduce readmissions for complex care patients by 45%, and it intends to use frequent pharmacy interactions to drive better outcomes. The plan is the first Medicare Advantage plan to adopt the National Average Drug Acquisition Cost (NADAC) pricing standard to increase drug-price transparency for seniors and pharmacies. Troy reports the average senior visits one of its 21,000 pharmacies three times per month, and it launched its Medicare Advantage plan in North Carolina in 2019. The company raised financing to accelerate deployment of this pharmacist-driven model and support the plan’s launch.

Total raised

$15M

Funding rounds

2

Latest round

Series B

Latest activity

Nov 2020